Diversity education Flashcards

1
Q

Why is diversity education important?

A
  • to reduce health inequalities
  • to enhance doctor-patient encounters
  • improve patient safety
  • professionalism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the cultural expertise model?

A

Where training focuses on providing information about different groups based on one characteristic (probably eg religion, race)
This is a categorical approach to gaining knowledge about ‘other’ cultures, which has been referred to as the ‘cultural expertise’ model, assumes that people who belong to a particular group, will behave in a common way (this is the opposite to the way in which the session was taught where we didn’t learn about other groups but sought to learn more about ourselves)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the disadvantages of gaining cultural knowledge through the cultural expertise model?

A
  • there is heterogeneity between individuals of the same group
  • doesn’t allow for acculturation
  • risks oversimplifications and stereotyping
  • too many categories to learn
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Give examples of culture shock

A
  • higher smoking prevalence in some countries

- faster pace/slower pace to life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the definition of culture?

A

a socially transmitted pattern of shared meanings by which people communicate, perpetuate and develop their knowledge and attitudes about life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the definition of ethnocentrism?

A

The tendency to evaluate other groups according to the values and standards of one’s own cultural group, especially with the conviction that one’s own cultural group is superior to the other groups.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Give an example of ethnocentrism

A
  • Nazi germany

- Medical ethnocentrism versus alternative medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is medical ethnocentrism?

A

The belief that health care providers, educated and socialized within a bio-medical context, have a superior value system and correct, accurate approach to health care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the disadvantages of medical ethnocentrism?

A
  • Patient refusal to communicate his or her beliefs and behaviours for fear of a negative reaction.
  • Health care provider may use his or her own beliefs only and be totally incorrect.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is self-awareness?

A
  • understanding the nature of culture and how it influences our worldview
  • understanding how we may react when our cultural norms are violated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Explain the iceberg model of culture

A

There are aspects of people’s culture that we may see (gender, age, ethnicity, nationality), but under this there are many other influences of individual culture (socio-economic status, health, occupation, religion, sexual orientation, political orientation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the components of individual identity?

A
  • Heritage (language, country of origin, ethnicity, family)
  • Individual circumstances (gender, age, socio-economic status)
  • personal choice (lifestyle, religion)

It is a DYNAMIC entity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the definition of stereotype?

A

Involve generalisations about the ‘typical’ characteristics of members of a group.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the definition of prejudice?

A

Attitude towards another person based solely on their membership of a group

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the definition of discrimination?

A

Actual positive or negative actions towards the objects of prejudice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

List some challenges of cultural diversity when working with patients

A
  • attitudes to healthcare professionals - some patients may believe that healthcare professionals are superior and hence do not express their own views, or agree with clinicians blindly. Others may be too afraid to approach clinicians due to the hierarchy difference
  • taboos - eg sexual health
  • individual vs family approach to decision making
  • language barriers
  • alternative therapies - healers
  • objections to certain treatments eg blood transfusion
  • end of life care - traditions eg needing death certificate within 24 hours
  • safeguarding and FGM
  • child pregnancy and Roma Slovak
  • treatment adherence - fasting and meals
  • expectations of healthcare - going back to home country and seeing other doctors and coming back to demand treatment
17
Q

How can we overcome the challenges of cultural diversity?

A
  • listen to and understand the patient’s opinion
  • take time to work out the pros and cons with the patient
  • longer appointment times
  • increase availability of interpreters
  • be open-minded and flexible